Individual provider Active NPI

Pamela Martin Phillips, M.D.

  • Diagnostic Radiology Physician
  • Charleston, WV
National Provider Identifier
1992760698
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19277 Issued in WV
Practice address
1120 Kanawha Blvd E
Charleston, WV 25301-2400
Phone
(304) 344-3457
Fax
(304) 344-3480
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 19277 WV
Diagnostic Radiology Physician 2085R0202X 19277 WV Primary

Addresses

Primary practice location

1120 Kanawha Blvd E
Charleston, WV 25301-2400

Mailing address

PO Box 11137
Charleston, WV 25339-1137
Phone (304) 344-3457

Other identifiers 7

IdentifierTypeStateIssuer
7243898MedicaidVA
7243871MedicaidVA
7243880MedicaidVA
7243863MedicaidVA
0122386000MedicaidWV
6688-0024OtherVACAREFIRST
7247371MedicaidVA

Other names 1

  • Pamela L Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090918000445 WV Practitioner - Diagnostic Radiology 9032115043 Reassigns benefits to 15 organizations
I20250715003726 KY Practitioner - Diagnostic Radiology 9032115043 Reassigns benefits to 1 organization
I20251028002940 TN Practitioner - Diagnostic Radiology 9032115043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health AssociationGroup PAC ID 1759291313, 69 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, shared by 35 NPIs, 427 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-2731

1566 Thomas Cir
Charleston, WV 25314-1623
Phone (219) 767-6320

1624 Loudon Heights Rd
Charleston, WV 25314-1504
Phone (615) 312-0600

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044
  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Radiologists, Inc. Diagnostic Radiology CurrentSince Aug 1, 2009 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince May 28, 2025 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Feb 16, 2025 Accepting new patients
Pikeville Medical Center Inc CurrentSince Jan 23, 2025 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Jan 23, 2025 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Aug 2, 2025 Accepting new patients
THS Physician Partners Inc CurrentSince Aug 19, 2024 Accepting new patients
Community Health Association CurrentSince Apr 25, 2025 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Clarksville Imaging Center LLC Pediatric Radiology CurrentSince Jan 24, 2026 Accepting new patients
Community Health Association CurrentSince Apr 25, 2025 Accepting new patients
Pikeville Medical Center Inc. CurrentSince May 2, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Oct 13, 2024 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Feb 16, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 26, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Pediatric Radiology CurrentSince Mar 29, 2025 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Jul 8, 2025 Accepting new patients
West Virginia University Medical Corporation Diagnostic Radiology CurrentSince Jun 26, 2025 Accepting new patients
Community Health Association Past Accepting new patients
Virginia Radiology Associates, P.C. Diagnostic Radiology Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations (25 of 43)

1937 Momentum Pl
Chicago, IL 60689

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

295 Main St
Calhoun, KY 42327
Phone (270) 273-9310

140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

105 Prather Path
Ste 1200
Georgetown, KY 40324
Phone (502) 570-3785

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

210 N Main St
Morgantown, KY 42261
Phone (270) 504-1300

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2200 E Parrish Ave
Bldg D
Owensboro, KY 42303
Phone (270) 688-1770

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

911 Bypass Rd
Bldg D
Pikeville, KY 41501
Phone (606) 430-4673

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

238 Cassidy Blvd
Pikeville, KY 41501
Phone (606) 430-2230

Interoperability endpoints

  • Direct secure messaging: pphillips432189@direct.wvuhsdirect.com

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1992760698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11137",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253391137",
            "telephone_number": "304-344-3457",
            "fax_number": "304-344-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012400",
            "telephone_number": "304-344-3457",
            "fax_number": "304-344-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "PAMELA",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "WV",
            "license": "19277",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "19277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7243898",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7243871",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7243880",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7243863",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122386000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "6688-0024",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7247371",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MARTIN",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.